Ohio Nurse - June 2022

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Page 10 Ohio Nurse June 2022 Medical Mission Trips continued from page 9 have very limited access to such common Western medical adjunctive care such as laboratory or radiology services. Other services such as physical therapy, ophthalmology, dentistry, and dermatology can be limited in the communities. Community members are often very grateful to the international medical team who provides these services, and will frequently provide small tokens of appreciation, such as meals, or other culturally appropriate crafts made by community members. Experiences in the Field Participants of medical mission teams often talk about the experience as a “life-changing event,” “a growth opportunity,” or a “renewed commitment” to their profession. Although medical missions can be challenging in terms of the change from the normal daily routine, the rewards can be significantly positive and satisfying for the participants. Several nurses part of faith-based teams see giving back to a community that lacks resources as a “calling” and as part of their faith. As one (Lataya) who goes on faith-based medical mission trips, the experience has been humbling and inspiring. As a member (Dr. Vogt) of multiple short-term medical mission teams both domestic and international, the opportunity to serve communities without ready access to healthcare has been rewarding and motivating. Providing primary care to patients with limited access helps to increase and strengthen one’s physical assessment skills while learning about new areas such as tropical diseases. Collaborating with members of the host country’s medical providers allows a rich opportunity for diverse experiences that can be both professionally and personally rewarding. As a volunteer for Ohio based Central American Medical Outreach (CAMO), Dr. Justice has traveled to Santa Rosa de Copan, Honduras to provide education for nurses, physicians, and paramedics. Classes have been taught for conducting medical simulations and the Stop the Bleed program. On these mission trips, the healthcare providers teach their Honduran counterparts new techniques for surgical procedures, provide education to hospital staff, and education to a variety of educators. An interpreter is provided, if needed, during these trips to allow the learners the opportunity to ask questions without language barriers and allows the volunteer to understand the challenges faced in the hospital setting in western Honduras. Has this information piqued your interest in serving as a nurse on a medical mission trip? Multiple faith-based organizations seek participants on medical missions including the main Protestant and Catholic religions. More information can be obtained by contacting the organization. Non-faith based organizations, such as, Doctors Without Borders, Mercy Ships, and many others have websites with information about volunteering. A national global mission conference is held annually in late fall where multiple organizations are available to talk about their opportunities to serve. There are countless opportunities for nurses to volunteer for medical missions. Consider if volunteering is the right choice for you. Suggested Readings • A Systematic Review of Social, Economic, and Diplomatic Aspects of Short- Term Medical Missions by P. H. Caldron, A. Impens, M. Pavlova, & W. Groot • Nurses’ Contribution to Short-Term Humanitarian Care in Low- to Middle-Income Countries: An Integrative Review of the Literature by S. Dawson, D. Elliott, & D. Jackson • Short-Term Medical Service Trips: A Systematic Review of the Evidence by K. J. Sykes References Mission Discovery. (2021). A brief history of mission trips. https://www.missiondiscovery.org/ news/brief-history-mission-trips/ Rasori, A. (2019). The role of nurses in Humanitarian Medicine: Three educational strategies for sustainable short term medical volunteer trips. International Journal of Nursing, 6(1). https://doi.org/10.15640/ijn.v6n1a15
June 2022 Ohio Nurse Page 11 Tracy Zeller, RN Bedside nurses are still struggling with getting necessary supplies like blood pressure cuffs, blood draw kits, and medications such as 50% dextrose. COVID has yet again impacted the supply chain and has now led to medical staff not being able to perform certain tests which could save lives. Due to the renewed lockdown in Shanghai, China, GE Healthcare has been unable to meet the demand for iohexol and iodixanol contrast products for computed tomography imaging since April 2022. While GE Healthcare is not the only manufacturer of medical contrast dye, they do however reach 50% of U.S. Hospitals. It was not until late May of 2022, that GE Healthcare reached 50% production capacity per the American Hospital Association. (Schulman, R., & Howell, M., 2022) While the production of contrast still continues in China, GE Healthcare has also moved some production to other countries and does not expect normal production until late June. Once production is back to full capacity, the next task is meeting the demand. Hospitals are encouraged to be nothing less than mindful and diligent when it comes to using what contrast they do have in stock. This response means saving it for critical situations like traumas and to assess for certain cancers. So, while we as bedside nurses might be used to orders for tests such as CT PE scans or CT scans with contrast, don’t expect to see those often in the immediate future. Providers are now having to find alternative tests that can provide the answers they are looking for. The shortage of contrast has led to an increase in once previously used exams such as Ventilation Perfusion (V/Q) Scans. With a low supply of contrast, most CTs are being done without, leading providers to ask, “Are we missing something?” BEDSIDE HAPPENINGS Missing the Big Picture Not having contrast has some healthcare providers concerned over the potential disservice that may be being done to the patient by not catching what they normally would through the use of IV Contrast Dye. Dr. Matthew Davenport, the vice-chair of the American College of Radiology Commission on Quality and Safety, told U.S. News, “It’s very difficult to know what harms are going to occur from this, either from a delayed diagnosis or a misdiagnosis.” (Chuck, E., 2022) We as healthcare professionals took oaths to uphold patient safety and to do what is right for them. Unfortunately, with the lack of supplies, we are having to find alternatives while still abiding by those oaths. The world is entering year three of COVID-19 and the medical supply chain, like many supply chains, still continues to struggle. As stated by the American Hospital Association, we must take steps to encourage and strengthen domestic manufacturing and production not only within our borders but also in nearby countries. (Schulman, R., & Howell, M., 2022) In the U.S., we must find ways to be self-sufficient and not dependent on other countries to provide life-saving testing supplies and medications yet again. Until then, we will continue missing the big picture. Chuck, E. (2022, May 18). Shortage of contrast dye forces hospitals to ration CT scans, other procedures. NBCNews.com. Retrieved June 8, 2022, from https://www.nbcnews.com/ news/us-news/shortage-contrast-dye-hospitals-ration-ct-scans-procedures-rcna29379 Schulman, R., & Howell, M. (2022, May 12). Shortage of contrast media for CT imaging affecting hospitals and Health Systems: AHA. American Hospital Association. Retrieved June 8, 2022, from https://www.aha.org/advisory/2022-05-12-shortage-contrast-mediact-imaging-affecting-hospitals-and-health-systems The Ohio Department of Rehabilitation and Correction are looking for medical professionals in the following areas: LICENSED PRACTICAL NURSE, REGISTERED NURSE, and NURSE PRACTITIONER Who We Are… Guided by a single mission “To reduce recidivism among those we touch,” the Ohio Department of Rehabilitation and Correction believes that everyone is capable of positive change. Our staff embrace these core values and serves as role models for pro-social behavior conveying an attitude of dignity and respect in the treatment of others. What We Do… The Ohio Department of Rehabilitation and Correction has been tasked with front line crime reduction through rehabilitative treatment and programming efforts provided in a safe, secure and humane correctional environment and effective community supervision. Our goal is to protect the public through helping individuals turn away from crime and become productive, contributing members of our communities, ensuring a safer Ohio for all Ohioans now and in the future. To learn more about our agency, please visit our website at www.drc.ohio.gov. • Health Care Benefits include medical, behavioral, dental, vision, prescription drug • Education Assistance • Paid Holidays • Paid Vacation, Sick and Personal Leave • Retirement Benefits • Life Insurance • Wellness Incentives • Worker’s Compensation • Employee Assistance Program • LPN’s starting hourly pay will be $23.68, plus 3% supplement and may be eligible for shift differential • RN’s starting hourly pay will be $30.93, plus 3% supplement and may be eligible for shift differential • Nurse Practitioner’s starting pay is determined by a number of factors and will be advertised on individual posting announcements. Applications are accepted online at: www.careers.ohio.gov. On this website you will find the Career Center that will help you search for current job openings and tips on how to apply, how to contact hiring agencies, interviewing skills, and much more in the Frequently Asked Questions (FAQs) section. Contact us at: DRC.OfficeOfCorrectionalHealthcare@odrc.state.oh.us.
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Ohio Nurse - June 2022

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